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https://www.readbyqxmd.com/read/29914407/adapted-psychotherapy-for-suicidal-geriatric-patients-with-depression
#1
Jörn Conell, Ute Lewitzka
This debate article aims to evaluate whether current diagnostic and therapeutic options for suicidal geriatric patients with depression suffice, and which adapted strategies might be helpful. We hope to encourage clinicians to consider special approaches when treating the elderly. BACKGROUND: Suicide in old age is a major public health problem, as the suicide rates are highest among those aged 60 years and older in most European countries. Although pharmacological treatment options are relatively easy for older patients to obtain, their access to standard psychotherapy is limited...
June 19, 2018: BMC Psychiatry
https://www.readbyqxmd.com/read/29912649/conditions-and-strategies-high-school-students-living-in-lodgings-experience-as-important-and-helpful-for-their-well-being
#2
Wenche Wannebo, Siri Andreassen Devik, Lisbeth Uhrenfeldt
Many 15- to 16-year-old adolescents in Scandinavian countries have to move away from home to live in lodgings during senior high school. This transition might affect the adolescents' well-being and mental health, with the risk of dropping out of school and/or potential mental health problems. This study aims to explore what adolescents experience to be of importance and helpful for their well-being through their lives in lodgings during senior high school. Qualitative, in-depth interviews were performed among 21 adolescents from the ages of 16 to 18 of both genders living in lodgings in a Norwegian county...
December 2018: International Journal of Qualitative Studies on Health and Well-being
https://www.readbyqxmd.com/read/29912033/analysis-of-healthcare-institutional-costs-of-pediatric-home-parenteral-nutrition-central-line-infections
#3
Bram P Raphael, Christina Hazenkamp, Mihail Samnaliev, Al Ozonoff
BACKGROUND: While previous literature suggests home parenteral nutrition (HPN) dependent children experience frequent complications like community acquired central line associated bloodstream infections (CLABSI), few studies have characterized the cost. OBJECTIVES: To evaluate institutional cost of community-acquired CLABSI in pediatric HPN patients. METHODS: This is a single center retrospective review of institutional costs for HPN patients with community-acquired CLABSI at a tertiary care children's hospital...
June 13, 2018: Journal of Pediatric Gastroenterology and Nutrition
https://www.readbyqxmd.com/read/29908954/impact-of-early-institutionalization-on-attention-mechanisms-underlying-the-inhibition-of-a-planned-action
#4
Connie Lamm, Sonya Troller-Renfree, Charles H Zeanah, Charles A Nelson, Nathan A Fox
Institutional rearing is associated with deficits in executive functions, such as inhibitory control, and may contribute to later externalizing behavior problems. In the current study, we explored the impact of institutional rearing on attention in the context of inhibiting a planned action. As part of the Bucharest Early Intervention Project (BEIP), children were randomized to either remain in the institutions in which they lived (Care as Usual Group) or be placed into foster family homes (Foster Care Group)...
June 14, 2018: Neuropsychologia
https://www.readbyqxmd.com/read/29907110/differences-in-triage-category-priority-level-and-hospitalization-rate-between-young-old-and-old-old-patients-visiting-the-emergency-department
#5
Sarah Vilpert, Stéfanie Monod, Hélène Jaccard Ruedin, Jürgen Maurer, Lionel Trueb, Bertrand Yersin, Christophe Büla
BACKGROUND: Emergency Department (ED) are challenged by the increasing number of visits made by the heterogeneous population of elderly persons. This study aims to 1) compare chief complaints (triage categories) and level of priority; 2) to investigate their association with hospitalization after an ED visit; 3) to explore factors explaining the difference in hospitalization rates among community-dwelling older adults aged 65-84 vs 85+ years. METHODS: All ED visits of patients age 65 and over that occurred between 2005 and 2010 to the University of Lausanne Medical Center were analyzed...
June 15, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29906030/the-effect-of-home-buddhist-mindfulness-meditation-on-depressive-symptom-in-major-depressive-patients
#6
Wanpen Turakitwanakan, Patirop Pongpaplud, Maethaphan Kitporntheranunt
Background: Major depressive disorder (MDD) is the important cause of disability in the world. Major depressive patients that are not respond to the first and second drugs are about 67% and 33%, respectively. Therefore the effective treatment is urgently needed. Objective: To examine the effect of Buddhist mindfulness meditation combined with standard treatment on depression and quality of life in major depressive patient compared to the control group. Material and Method: It was a quasi experimental study...
November 2017: Journal of the Medical Association of Thailand, Chotmaihet Thangphaet
https://www.readbyqxmd.com/read/29903645/the-impact-of-sarcopenia-on-incident-homebound-status-among-community-dwelling-older-adults-a-prospective-cohort-study
#7
Kazuki Uemura, Hyuma Makizako, Sangyoon Lee, Takehiko Doi, Sungchul Lee, Kota Tsutsumimoto, Hiroyuki Shimada
OBJECTIVES: Whether sarcopenia predicts incident homebound status remains unclear. This prospective cohort study aimed to determine the impact of sarcopenia on the incidence of homebound status in community-dwelling older adults. METHODS: The study included 3958 community-dwelling elderly people aged ≥65 years who were not homebound at baseline. Sarcopenia was defined as the presence of both poor muscle function (low physical performance or low muscle strength) and low muscle mass...
July 2018: Maturitas
https://www.readbyqxmd.com/read/29901736/prenatal-and-postnatal-supplementation-with-lipid-based-nutrient-supplements-reduces-anemia-and-iron-deficiency-in-18-month-old-bangladeshi-children-a-cluster-randomized-effectiveness-trial
#8
Susana L Matias, Malay K Mridha, Rebecca T Young, Md Showkat A Khan, Zakia Siddiqui, Md Barkat Ullah, Stephen A Vosti, Kathryn G Dewey
Background: Anemia, iron deficiency (ID), and iron deficiency anemia (IDA) among young children are public health concerns in developing countries. Objective: We evaluated the effects of small-quantity lipid-based nutrient supplements (LNSs) and micronutrient powder (MNP) on anemia, ID, and IDA in 18-mo-old Bangladeshi children. Methods: We enrolled 4011 pregnant women in a cluster-randomized effectiveness trial with 4 arms-1) LNS-LNS: LNSs (including 20 mg Fe) for women daily during pregnancy and 6 mo postpartum and LNSs (including 9 mg Fe) for children daily from 6 to 24 mo of age (LNS-C); 2) IFA-LNS: iron (60 mg) and folic acid (IFA) for women daily during pregnancy and every other day for 3 mo postpartum and LNS-C for children; 3) IFA-MNP: IFA for women, and MNP (including 10 mg Fe) for children daily from 6 to 24 mo; and 4) IFA-Control: IFA for women and no child supplement...
June 13, 2018: Journal of Nutrition
https://www.readbyqxmd.com/read/29900808/the-association-between-psychosocial-work-environment-and-satisfaction-with-old-age-care-among-care-recipients
#9
Dan Lundgren, Marie Ernsth Bravell, Ulrika Börjesson, Ingemar Kåreholt
This study examines the association between nursing assistants' perceptions of their psychosocial work environment and satisfaction among older people receiving care in nursing homes and home care. Cross-sectional surveys were conducted among people receiving care ( N = 1,535) and nursing assistants ( N = 1,132) in 45 nursing homes and 21 home care units within municipal old-age care. Better psychosocial work environment was related to higher satisfaction in old-age care among the recipients. Significant and stronger associations were more common in nursing homes than in home care...
June 1, 2018: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://www.readbyqxmd.com/read/29895288/registered-or-unregistered-levels-and-differentials-in-registration-and-certification-of-births-in-ghana
#10
Fidelia A A Dake, Kamil Fuseini
BACKGROUND: The birth of a child is a vital event that needs to be registered but this is not always the case as an estimated 40 million births go unregistered annually. Birth registration safeguards the basic rights of children and gives them an identity, citizenship/nationality and legal protection against violence, abuse and human rights violations. It is therefore necessary that all births are registered and even more critical that the registration of a birth is followed by the issuance of a birth certificate...
June 13, 2018: BMC International Health and Human Rights
https://www.readbyqxmd.com/read/29885656/prevalence-of-pain-and-its-associated-factors-among-the-oldest-olds-in-different-care-settings-results-of-the-agequalide-study
#11
Tina Mallon, Annette Ernst, Christian Brettschneider, Hans-Helmut König, Tobias Luck, Susanne Röhr, Siegfried Weyerer, Jochen Werle, Edelgard Mösch, Dagmar Weeg, Angela Fuchs, Michael Pentzek, Luca Kleineidam, Kathrin Heser, Steffi Riedel-Heller, Wolfgang Maier, Birgitt Wiese, Martin Scherer
BACKGROUND: The prevalence of pain is very common in the oldest age group. Managing pain successfully is a key topic in primary care, especially within the ageing population. Different care settings might have an impact on the prevalence of pain and everyday life. METHODS: Participants from the German longitudinal cohort study on Needs, Health Service Use, Costs and Health-related Quality of Life in a large Sample of Oldest-old Primary Care Patients (85+) (AgeQualiDe) were asked to rate their severity of pain as well as the impairment with daily activities...
June 9, 2018: BMC Family Practice
https://www.readbyqxmd.com/read/29883475/characteristics-of-burn-injuries-among-children-aged-under-six-years-in-south-korea-data-from-the-emergency-department-based-injury-in-depth-surveillance-2011-2016
#12
Joon Min Park, Yoo Seok Park, Incheol Park, Min Joung Kim, Kyung Hwan Kim, Junseok Park, Dong Wun Shin
Studies show that young children are vulnerable to burn injuries. We aimed to investigate the characteristics of thermal injuries in this population. We included children below 6 years of age who visited the emergency department (ED) after thermal injuries who were registered in the Korean Emergency Department-based Injury In-Depth Surveillance (2011-2016) database. Demographic characteristics, injury-related factors, and factors associated with ED treatment were gathered from the data. Then, we divided all children into two groups according to the ED discharge status: discharge versus admission (including cases transferred to other hospitals)...
2018: PloS One
https://www.readbyqxmd.com/read/29880319/prevalence-and-associated-factors-of-problem-behaviours-among-older-adults-with-intellectual-disabilities-in-ireland
#13
Claire O'Dwyer, Philip McCallion, Éilish Burke, Rachael Carroll, Máire O'Dwyer, Mary McCarron
A growing number of adults with intellectual disabilities (ID) are reaching old age, however, little is known about epidemiology of problem behaviours (PBs) in this population. The aim was to identify the prevalence and associated factors of PBs among older adults with ID in Ireland. Data was generated from Wave 2 of the Intellectual Disability Supplement to the Irish Longitudinal Study on Ageing (IDS-TILDA), a nationally representative sample of adults with ID aged ≥40. Data on PBs was available for 683 (98...
June 5, 2018: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/29880287/clinical-end-points-of-transcatheter-aortic-valve-implantation-compared-with-surgical-aortic-valve-replacement-in-patients-65-years-of-age-from-the-national-inpatient-sample-database
#14
Tomo Ando, Emmanuel Akintoye, Anthony A Holmes, Alexandros Briasoulis, Mohit Pahuja, Hisato Takagi, Theodore Schreiber, Cindy L Grines, Luis Afonso
It is unknown if transcatheter aortic valve implantation (TAVI) is a safe alternative to surgical aortic valve replacement (SAVR) in patients <65 years old. Data from the National Inpatient Sample database were utilized. Patients from 2011 to 2015, ages 18 to 64 years old (inclusive) who underwent TAVI and SAVR were included. Patients who underwent SAVR and who also received a concomitant nonaortic valve surgery were excluded. A propensity score analysis was used. A total of 18,970 (528 TAVI and 18,442 SAVR) patients were identified...
April 24, 2018: American Journal of Cardiology
https://www.readbyqxmd.com/read/29875079/screening-mammography-among-nursing-home-residents-in-the-united-states-current-guidelines-and-practice
#15
Deborah S Mack, Mara M Epstein, Catherine Dubé, Robin E Clark, Kate L Lapane
OBJECTIVE: United States (US) guidelines regarding when to stop routine breast cancer screening remain unclear. No national studies to-date have evaluated the use of screening mammography among US long-stay nursing home residents. This cross-sectional study was designed to identify prevalence, predictors, and geographic variation of screening mammography among that population in the context of current US guidelines. MATERIALS AND METHODS: Screening mammography prevalence, identified with Physician/Supplier Part B claims and stratified by guideline age classification (65-74, ≥75 years), was estimated for all women aged ≥65 years residing in US Medicare- and Medicaid- certified nursing homes (≥1 year) with an annual Minimum Data Set (MDS) 3...
June 4, 2018: Journal of Geriatric Oncology
https://www.readbyqxmd.com/read/29868936/what-approaches-are-most-effective-at-addressing-micronutrient-deficiency-in-children-0-5-years-a-review-of-systematic-reviews
#16
M Campos Ponce, K Polman, N Roos, F T Wieringa, J Berger, C M Doak
Introduction Even though micronutrient deficiency is still a major public health problem, it is still unclear which interventions are most effective in improving micronutrient status. This review therefore aims to summarize the evidence published in systematic reviews on intervention strategies that aim at improving micronutrient status in children under the age of five. Methods We searched the literature and included systematic reviews that reported on micronutrient status as a primary outcome for children of 0-5 years old, had a focus on low or middle income countries...
June 4, 2018: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/29868868/effect-of-preschool-home-visiting-on-school-readiness-and-need-for-services-in-elementary-school-a-randomized-clinical-trial
#17
Karen L Bierman, Janet Welsh, Brenda S Heinrichs, Robert L Nix
Importance: Home visiting programs targeting the school readiness of preschool children (age range, 4-5 years) show promise in short-term and quasi-experimental studies but rarely are evaluated with rigorous designs and follow-up assessments. Objectives: To examine the sustained effects of a preschool home visiting program on child and family competencies and on child need for services 4 years later. Design, Setting, and Participants: In a randomized clinical trial, individual families with preschool children were assigned to receive the Research-Based and Developmentally Informed-Parent home visiting program (REDI-P) (intervention group) or math home learning games in the mail (control group)...
June 4, 2018: JAMA Pediatrics
https://www.readbyqxmd.com/read/29868384/pedestrian-traffic-safety-and-outdoor-active-play-among-10-13-year-olds-living-in-a-mid-sized-city
#18
Andrew Nguyen, Michael M Borghese, Ian Janssen
This cross-sectional study examined the independent and interactive associations between objective and perceived measures of neighborhood pedestrian traffic safety and outdoor active play. A total of 458 children aged 10-13 years from Kingston, Canada were studied in 2015-2016. Outdoor active play was measured over 7 days using data from activity logs, accelerometers, and Global Positioning System loggers. Geographic Information System data were collected within 1 km of participants' homes and used to create traffic volume, traffic calming, traffic speed, and pedestrian infrastructure indexes...
June 2018: Preventive Medicine Reports
https://www.readbyqxmd.com/read/29867299/does-use-of-long-term-care-differ-between-occupational-classes-among-the-oldest-old-vitality-90-study
#19
Linda Enroth, Mari Aaltonen, Jani Raitanen, Lily Nosraty, Marja Jylhä
Long-term care (LTC) use increases with ageing due to an age-related increase in disability. Both the levels of disability and social resources vary among socioeconomic groups. The association of socioeconomic status with LTC use is largely unexplored for the oldest old. This study examined how occupational class is associated with LTC use among nonagenarians in the context of universal care coverage. A population-based prospective cohort study with 2862 participants who answered the Vitality 90 + Study surveys in 2001, 2003, 2007, or 2010 in Tampere, Finland, was combined with national register data on LTC use...
June 2018: European Journal of Ageing
https://www.readbyqxmd.com/read/29866371/-interpersonal-violence-in-spain-through-national-hospital-discharge-survey
#20
Christian Carlo Gil-Borrelli, Pello Latasa Zamalloa, María Dolores Martín Ríos, M Ángeles Rodríguez Arenas
OBJECTIVE: To describe the epidemiology of interpersonal violence in Spain. METHOD: Descriptive study of the cases of patients with secondary diagnosis of aggression registered on a national hospital discharge database, between 1999 and 2011, using the codes from E960 to E969 of the ICD-9. The distribution by sex, age and type of discharge, associated morbidity, mortality and by autonomous community is described. The quality of the record is studied according to its temporal variation...
June 1, 2018: Gaceta Sanitaria
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